This inspection was carried out on 6th November 2009.
CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Elmsleigh Care Home Elmsleigh St Andrews Road Par St Austell Cornwall PL24 2LX two star good service 12/05/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Gail Richardson Date: 0 6 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Elmsleigh Care Home Elmsleigh St Andrews Road Par St Austell Cornwall PL24 2LX 01726812277 01726815479 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Robert Gregory Thomas care home 48 Number of places (if applicable): Under 65 Over 65 0 0 dementia mental disorder, excluding learning disability or dementia Conditions of registration: 48 48 The maximum number of service users who can be accommodated are 48. The registered person may provide the following category of service only: Care home providing nursing or personal care - Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Dementia, excluding learning disability or mental disorder (Code DE) maximum 48 places Mental disorder, excluding learning disability or dementia (Code MD) maximum 48 places Date of last inspection 1 2 0 5 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Elmsleigh provides nursing care for service users who have a dementia and or a mental disorder. Elmsleigh is a period property in a peaceful area, set in extensive secluded attractive grounds approached by a long drive. Car parking is available. The home is situated in Par, approximately three miles form the town of St Austell. Residents private accommodation is set out across two floors in the main house where there is a stair lift to provide access to the first floor accommodation. Some of the bedrooms are only accessible to residents with good levels of mobility due to relatively steep stairs. All of the bedrooms are for single occupancy and there are sufficient bathing facilities. The new extension known as the bungalow is on one level and all single bedrooms are provided with en suite bathroom facilities. The communal facilities include two dining rooms, a variety of lounge areas and in the bungalow residents and their relatives have access to a communal kitchen. The home is run and managed by the registered provider and registered manager with a team of staff to assist them. The fees range from £330.00 to £675.00 per week. Toiletries, newspapers and certain activities are the financial responsibility of the resident. Care Homes for Older People Page 3 of 8 What we found:
This was an unannounced random inspection, which took place over three hours on the 6th November 2009 by Regulation Inspector Gail Richardson. The purpose of the inspection was to review areas of concern raised with us about the environment of the home. We had also not received notification under Regulation 37 of the Care Homes Regulation 2001, the required notification of an incident at the home and so took this opportunity to review records relating to that incident. There were 41 people currently residing at the home receiving personal care. Three people were receiving one to one care. There were 10 care staff on duty and also 2 cleaning staff, 1 laundry staff, 1 cook and 1 kitchen assistant. A tour of the home took place and a selection of the bedrooms and all communal areas were seen. We spoke with 5 people using the service and 5 staff. We looked at the care records and related documentation for one person. We observed some care practices and spoke with people using the service and staff. What the care home does well: What they could do better:
When we looked at the care records for the one person, we noted that the incident identified appears well managed. We would however request that the registered manager review the documentation and investigate the time prior to the incident being recorded to identify if there were any pre disposing factors which had not been documented. We require that a summary of that investigation be forwarded to us. The environment of the home is large and varied. There is an older building and a newer extension which is joined to the main body of the home. The people who have higher dependency needs are cared for in the older part of the building and this area is staffed accordingly. In this area there is also a smoking area and the kitchen and laundry. There is ramped access through the home and key pad access between each area.
Care Homes for Older People Page 4 of 8 We observed that the standard of hygiene varied . The older part of the home has areas which needed further cleaning and showed signs of wear and tear. These included the smoking area which was very dark and stained with three chairs seen to be very stained. Some carpets noted on corridors are marked and stained and in need of cleaning. The area outside the kitchen has flooring which needed to be cleaned. Some bathrooms in the older part of the home are in need of refurbishment/ repair. Some tiles were noted to be broken and flooring in one room was stained. One light fitting was seen to contain debris and one toilet brush was noted to be very stained. We spoke with cleaning staff who told us that 2 to 3 cleaning staff are on duty each day and they have enough equipment and supplies to clean to a good standard. One person told us that the older part of the home is harder to keep clean . There was no significant malodour, however one lounge smelt damp and it was noted that a dehumidifier was working on the day of inspection. This room was used by several people and the odour was evident through the lounge. The management of the home must ensure that all areas of the home have suitable fixtures and fittings which are in good repair and that all areas have a satisfactory standard of hygiene. The manager is further recommended to identify which bathrooms are in use and ensure that people and staff are aware which bathrooms are no longer suitable for use. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 24 16 The registered manager of 16/12/2009 the home must ensure that all areas of the home have suitable fixtures and fittings which are in good repair and that all areas have a satisfactory standard of hygiene. This is needed to ensure that all areas of the home are clean, well maintained and there is a reduced risk of cross infection. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 21 The registered manager is recommended to identify which bathrooms are in use and ensure that people and staff are aware which bathrooms are no longer suitable for use. Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
